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Retinal Nerve Fiber Layer Loss After Traumatic Optic Neuropathy Detected by Scanning Laser Polarimetry
Felipe Andrade Medeiros, MD;
Remo Susanna, Jr, MD
São Paulo, Brazil
Arch Ophthalmol. 2001;119:920-921.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 19-YEAR-OLD man was admitted to the emergency department after a motor vehicle crash. His visual acuity was hand motions OD and 20/20 OS, with moderate periorbital edema and ecchymosis in his right eye. Slitlamp examination disclosed only a mild subconjunctival hemorrhage. The ocular motility was normal, and intraocular pressure was 16 mm Hg OU. Pupillary examination showed a 3+ relative afferent defect in his right eye. Dilated funduscopic examination revealed normal optic nerve with a cup-disc ratio of 0.4 OU. A computed tomographic scan of the head and orbits detected a fracture through the right optic canal. The patient was treated with steroids, and visual acuity improved to 20/400 OD. Retinal nerve fiber layer (RNFL) measurements using scanning laser polarimetry (SLP) (Gdx; Retinal Diagnostic Technologies Inc, San Diego, Calif) were taken at 15 days (Figure 1), 30 days (. . . [Full Text of this Article]COMMENT
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